| Alpha Hormones | |
|
800 Fairmount Ave Ste 323 Pasadena CA 91105-3155 | |
| (213) 334-4111 | |
| (213) 335-5001 |
| Full Name | Alpha Hormones |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 Fairmount Ave Ste 323, Pasadena, California |
| Authorized Official Name and Position | Rotana Steven Tek (CEO) |
| Authorized Official Contact | 2133344111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Hormones 468 N Camden Dr Ste 5500 Beverly Hills CA 90210-4507 Ph: (213) 334-4111 | Alpha Hormones 800 Fairmount Ave Ste 323 Pasadena CA 91105-3155 Ph: (213) 334-4111 |
| NPI Number | 1083237481 |
|---|---|
| Provider Enumeration Date | 05/20/2020 |
| Last Update Date | 06/04/2023 |
| Medicare PECOS PAC ID | 8921428046 |
|---|---|
| Medicare Enrollment ID | O20201012001050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083237481 | NPI | - | NPPES |
| C4560880 | Other | CA | CORPORATION NUMBER |
| FNP2901 | Other | CA | FACTITIOUS NAME PERMIT |
| Provider Name | Rotana Steven Tek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952665036 PECOS PAC ID: 9032434915 Enrollment ID: I20150217002228 |
| Provider Name | Katia Nikita Riquelme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619415122 PECOS PAC ID: 5294001277 Enrollment ID: I20171018002260 |
| Provider Name | Marcus J Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881248540 PECOS PAC ID: 3476985094 Enrollment ID: I20191119002402 |
| Provider Name | Julianne Marie Humason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518517481 PECOS PAC ID: 1658704473 Enrollment ID: I20191210001341 |
| Provider Name | Alicia Calzada-gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881106268 PECOS PAC ID: 9032507918 Enrollment ID: I20211026001715 |
| Provider Name | Monikeo Tek Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184478851 PECOS PAC ID: 5799127866 Enrollment ID: I20240522000117 |
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